DR. WILLIAM DALE BETTIS (NPI# 1407988397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407988397 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM DALE BETTIS |
| Credential | DMD |
| Practice Address |
1729 W Harvard Ave Ste 2 Suite 2 Roseburg OR 97470-2795 |
| Mailing Address |
1729 W Harvard Ave Ste 2 Suite 2 Roseburg OR 97471-2795 |
| Practice Telephone | 5416736344 |
| Practice Fax Number | 5416739706 |
| Mailing Telephone | 5416736344 |
| Mailing Fax Number | 5416739706 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2011-09-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4498 | OR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 012872 | 05 |
| Street Address |
1729 W HARVARD AVE STE 2 SUITE 2 |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470-2795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356748784 | Vyacheslav Dmytruk | Dentist | 1729 W Harvard Ave Ste 2, Roseburg, OR 97471-2795 | 2014-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| Find all providers in zip 97470 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649680281 | Two Thirty Dental, LLC | Dentist | 1168 Nw Garden Valley Blvd, Roseburg, OR 97471-1923 | 2014-05-05 |
| 1376988485 | David Wayne Sutton | Dentist | 1729 W Harvard Ave Ste 5, Roseburg, OR 97471-2795 | 2013-05-02 |
| 1447538392 | Mark R Driver Dmd PC | Dentist | 1651 Nw Hughwood Court, Roseburg, OR 97471-8834 | 2011-07-26 |
| 1700918661 | Tu D Tran | Dentist | 1700 Nw Garden Valley Blvd, Suite 201, Roseburg, OR 97470-1636 | 2007-03-09 |
| 1952469868 | Mark R Driver | Dentist | 1651 Nw Hughwood Ct, Roseburg, OR 97471-8834 | 2006-12-04 |
| 1326138777 | Rick Ray Campbell | Dentist | 665 West Wharton, Roseburg, OR 97470 | 2006-10-14 |
| 1750492054 | Bruce Edward Parker | Dentist | 2530 Nw Medical Park Dr, Roseburg, OR 97470-5510 | 2006-08-31 |
| 1295746410 | David H Eichman | Dentist | 1600 Nw Hughwood Ct, Roseburg, OR 97470-8844 | 2006-08-11 |
| 1861437873 | James Y Lee | Dentist | 1813 W Harvard, Ste 221, Roseburg, OR 97470 | 2006-06-17 |
| 1184663718 | Jed Ryan Norman | Dentist | 1813 W Harvard Ste 221, Roseburg, OR 97471 | 2006-06-06 |
| Find all providers in ROSEBURG | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.